| NPI | 1194762690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA 353735) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: PA DN001038) |
| 133V00000X Dietitian, Registered (Licence: PA DN001038) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-07-02 |